OSC Ophthalmic Scribe Test | 100 Questions with 100% Correct Answers | Verified | Latest Update 2024
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Grado
OSC Ophthalmic Scribe
Institución
OSC Ophthalmic Scribe
what is the primary function of a medical scribe? - create the medical note
what is the preferred format for the creation of the medical note? - subjective, objective,
assessment, plan (soap)
"present time" pt details are summarized by using what format - OPQRST
all current procedural terminolo...
OSC Ophthalmic Scribe Test | 100 Questions with 100% Correct Answers | Verified | Latest Update 2024 what is the primary function of a medical scribe? - ✔✔create the medical note what is the preferred format for the creation of the medical note? - ✔✔subjective, objective , assessment, plan (soap) "present time" pt details are summarized by using what format - ✔✔OPQRST all current procedural terminology (CPT) codes must be justified by what appropiate coding mechanisms - ✔✔international classification of disease (ICD) what patient history is outlined in the PMHx - ✔✔medical history what scribing include: blood pressure, heart rate, and respiratory rate - ✔✔vital signs the chief complaint (CC) history of present illness (HPI) adn review of systems (ROS) are listed in what category of the medical note? - ✔✔subjective the physical examination (PE) imaging and Laboratory results are listed in what category of the medical note? - ✔✔objective pt allergies and medications are listed under what category in the medical note? - ✔✔subjective where does a scribe record the pt's comments regarding vision problems? - ✔✔chief complaint (CC) which of the following statements is true regarding taking ocular history? - ✔✔the pt's systematic drug therapy may produce ocular systems name three important things to document in the history of an ocular injury - ✔✔1. how the injury occurred 2. the time the injury occurred 3. the treatment received since the injury occurred. in obtaining the past medical history for a pt about to have eye sx, what is MOST important? - ✔✔allergies to medications when taking the pt's history, it is important to inquire about hypertension and anti -hypertensive medications because they may be a factor in determining whether to... - ✔✔administer dilating drops what is the most important entry a scribe can make in the pt chart? - ✔✔what the physician finds in the course of the exam abbreviation for antibiotics? - ✔✔ABX abbreviation for discharge? - ✔✔D/C giant papillary conjuctivitis is noted on the pt's chart as - ✔✔GPC how is a fine needle aspiration noted in the pts chart/? - ✔✔FNA acronym for axial length? - ✔✔AL acronym for BC - ✔✔base curve what does BI indicate on a spectacle prescription? - ✔✔base -in prism
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